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The Zamvar pericardial fold

exposure of the obtuse marginal arteries during on-pump coronary artery surgery. Acknowledgements Professor Vipin Zamvar is an Editor-in-Chief of the Journal of Cardiothoracic Surgery. Funding No funding

Reviewer acknowledgment 2015

Contributing reviewers The Editors of the Journal of Cardiothoracic Surgery would like to thank all of our reviewers who have contributed to the journal in Volume 10 (2015) and whose valuable support is fundamental to its success.

The efficacy of video-assisted thoracoscopic surgery lung biopsies in patients with interstitial lung disease: a retrospective study of 66 patients

2 Vipin Zamvar 1 0 College of Medicine and Veterinary Medicine, University of Edinburgh , The Chancellor's Building, 49 Little France Crescent, Edinburgh EH16 4SB , UK 1 Department of Cardio-thoracic

A 20-year multicentre outcome analysis of salvage mechanical circulatory support for refractory cardiogenic shock after cardiac surgery

Khorsandi 0 Scott Dougherty 1 Andrew Sinclair Keith Buchan Fiona MacLennan Omar Bouamra Philip Curry Vipin Zamvar 0 Geoffrey Berg Nawwar Al-Attar 0 Department of Cardiothoracic Surgery, Royal Infirmary of

Advanced mechanical circulatory support for post-cardiotomy cardiogenic shock: a 20-year outcome analysis in a non-transplant unit

Background Post-cardiotomy cardiogenic shock (PCCS) has an incidence of 2–6 % after routine adult cardiac surgery. 0.5–1.5 % are refractory to inotropic and intra-aortic balloon pump (IABP) support. Advanced mechanical circulatory support (AMCS) can be used to salvage carefully selected number of such patients. High costs and major complication rates have lead to centralization...

Middle lobe syndrome associated with major haemoptysis

A 60-year-old Indian woman who was suffering from recurrent pneumonia presented with major haemoptysis and a right-sided pleuritic chest pain. Initially the patient required resuscitation to optimise her haemodynamic parameters while oxygenation remained satisfactory. An urgent computed tomography pulmonary angiogram revealed right middle lobe syndrome which constitutes chronic...

How to make an aortic root replacement simulator at home

There is a paucity of low-fidelity and cost-efficient simulators for training cardiac surgeons in the aspects of aortic root/valve replacement. In this study we addressed this training challenge by creating a low-fidelity, low-cost but, at the same time, anatomically realistic aortic root replacement simulator for training purposes. We used readily available, low cost materials...

Hazards of tube thoracostomy in patients on a ventilator

A patient with post-pneumonia empyema complicated by type-2 respiratory failure required mechanical ventilation as part of his therapy. A pneumothorax was noted on his chest radiograph. This was treated with an intercostal chest drain (ICD). Unfortunately, he was still hypoxic, his subcutaneous emphysema was worsening and the ICD was bubbling. A computed tomography (CT) scan of...

Transcatheter aortic valve implantation: from fantasy to reality

Increased life expectancy has led to the presentation of more complicated patients in old age for the replacement of the aortic valve. The emergence of Transcatheter Aortic Valve Implantation (TAVI) was considered as a significant breakthrough in the management of symptomatic, moribund patients suffering from aortic valve stenosis who had been rejected for surgical intervention...

Forced Expiratory Volume in One Second Predicts Length of Stay and In-Hospital Mortality in Patients Undergoing Cardiac Surgery: A Retrospective Cohort Study

Objective An aging population and increasing use of percutaneous therapies have resulted in older patients with more co-morbidity being referred for cardiac surgery. Objective measurements of physiological reserve and severity of co-morbid disease are required to improve risk stratification. We hypothesised that FEV1 would predict mortality and length of stay following cardiac...